Doctor Name: | ODARKA - MECHNYCZ |
NPI Number: | 1275542730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NO04614800 |
Business Practice Address: | 1808 Springbrook Ct Whippany, NJ - 079811428 |
Business Phone Number: | 9737810734 |
Business Fax Number: | |
Mailing Address: | 1808 Springbrook Ct, WHIPPANY |
State: | NJ |
Postal Code: | 079811428 |
Phone Number: | 9737810734 |
Fax Number: | |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | 26NO04614800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |